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Open accurate reduction for irreducible mallet fractures through a new pulp traction technique with primary tendon repair

Authors
 Ho-Jung Kang ; Su-Keon Lee 
Citation
 Journal of Plastic Surgery and Hand Surgery, Vol.46(6) : 438~443, 2012 
Journal Title
 Journal of Plastic Surgery and Hand Surgery 
ISSN
 2000-656X 
Issue Date
2012
Abstract
Sixteen patients with bony mallet fingers were treated by a new technique of open reduction through a T-shaped dorsal incision and oblique wire fixation via pulp traction with additional primary extensor repair. Surgical indications included fractures with intra-articular involvement over 1/3 of the articular surface, distal phalanx subluxation, and displacement greater than 3 mm irreducible by extension block pinning. The cases were analysed prospectively for a mean follow-up period of 12 months. The results were evaluated using Crawford's criteria. Eleven cases were evaluated as excellent, three cases as good, and two cases as fair. Complications included three cases with transient nail deformity, two cases with flexion limitation of 5° and 10°, and three cases with extension lag between 5°-10°. This new method of accurate reduction achieves good clinical outcomes, with comparatively less complications in mallet fractures irreducible to closed extension block reduction.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/91061
DOI
10.3109/2000656X.2012.727822
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Orthopedic Surgery
Yonsei Authors
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Link
 http://informahealthcare.com/doi/abs/10.3109/2000656X.2012.727822
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